Key result
Intraoperative transesophageal echocardiography, particularly real-time three-dimensional imaging, provides essential anatomical visualization for guiding minimally invasive mitral valve repair.
Intraoperative TEE is essential for guiding minimally invasive mitral valve surgery, offering real-time 3D anatomical visualization for surgical planning and post-repair assessment.
May facilitate virtual mitral valve planning; leaves open need for outcome validation studies.
The role of intraoperative transesophageal echocardiography (TEE) has increased tremendously since its first use in 1979. Today intraoperative TEE is a class I indication for surgical mitral valve reconstruction for evaluation of mitral valve pathology, graduation of mitral regurgitation and detection of potential risk factors as well as post-repair assessment. Real-time three-dimensional TEE offers anatomical visualization of the mitral valve apparatus, fundamental for virtual surgical planning of proper annuloplasty ring size. As minimally invasive and even off-pump techniques for mitral valve repair become more popular, image guidance by intraoperative TEE will play an essential role.
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Ender et al. (2013) conducted a review in Minimally invasive mitral valve surgery. Transesophageal echocardiography (TEE) was evaluated. Intraoperative transesophageal echocardiography, particularly real-time three-dimensional imaging, provides essential anatomical visualization for guiding minimally invasive mitral valve repair.
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